Tactical Athlete Application

Confirm Start Term
(If term needs to be updated from the original term the student provided, select the correct term here, and deselect the student's requested term)

When do you plan to enroll in Tactical Athlete coursework?

Are you currently active duty, a veteran, a member of the National Guard, or a Reservist in the U.S. Armed Forces?

Yes

No

Please specify:

Which branch?

What is your rank?

At what base are you located?

Biographical Information

First Name

Middle Name

Last Name

Suffix

Preferred First Name

Mailing Address

Country

Street

City

Region

Postal Code

Contact Information

Cell Phone Number

Personal Email Address

Personal Information

Date of Birth

Social Security Number (optional)

Sex

Are you Hispanic or Latino?

Yes

No

What is your citizenship status?

Additional Information

Have you applied to Georgia Southern University or Armstrong State University before?

Have you ever attended Georgia Southern University or Armstrong State University before?

If you are currently enrolled at Georgia Southern University, are you in an undergraduate degree program?

Legal Information

Georgia Southern University is committed to maintaining a safe campus environment while providing students from all backgrounds the opportunity to pursue a college education. Prior misconduct, criminal history, etc. are reviewed and may require an applicant to provide additional information; however, applicants are infrequently rejected due to these issues, and we strongly encourage those applicants to apply. Applicants providing an affirmative response to any question may be contacted to provide additional information. Applicants are strongly encouraged to complete their application process.

Have you ever been convicted of or pled guilty to a crime other than a minor traffic offense?

Yes

No

Please briefly describe the criminal offense to include the offense, the date of the offense, and what you have done to avoid a repeat offense. In some circumstances you may be asked to provide additional information and/or documentation beyond the information below.

Are there any criminal charges currently pending against you?

Yes

No

Please briefly describe the pending criminal offense to include the offense, the date of the offense, and what you have done to avoid a repeat offense. In some circumstances you may be asked to provide additional information and/or documentation beyond the information below.

Do you currently have disciplinary or academic misconduct charges pending against you from a high school, college, or university?

Yes

No

Have you ever been disciplined, suspended, or expelled for conduct code violations from a high school or a postsecondary educational institution?

Yes

No

If yes to either of the two previous questions, explain in 100 words or less:

At the time you left your previous high school(s), college(s) or universities, were you the subject of any disciplinary or academic misconduct proceeding?

Yes

No

If yes, explain in 100 words or less:

Certification

After reading and confirming, type your name in the certification field below as you would sign an official document.

I understand that this application is an abbreviated application for admission to Georgia Southern University used only enrollment in Tactical Athlete courses. If I want to enroll in any coursework outside of non-degree Tactical Athlete courses, I must complete the primary Application for Undergraduate Admission and meet all admission requirements of my student type and desired program.

I understand that any material false statement made knowingly and willingly by me on this application, or any documents attached hereto may, in accordance with O.C.G.A. 16-10-71, which provides that upon conviction, a person who knowingly commits the offense of false swearing shall be punished by a fine of not more than $1,000 or by imprisonment for not less than one nor more than five years, or both, subject me to prosecution in a court of law. Additionally, I further understand that any such false statement may subject me to immediate dismissal from the institution.

All personal data and special categories of sensitive personal data collected or processed by the USG must comply with the USG Cybersecurity Plan, as authorized by the Board of Regents Policy Manual Section 10.4 Cybersecurity: https://www.usg.edu/policies. Anyone suspecting his or her sensitive personal data has been exposed to unauthorized access, report your suspicion to helpdesk@usg.edu. Otherwise, questions concerning GDPR can be forwarded to gdpr@usg.edu. Signature (below) and submission of this application provides consent to and acknowledgement of the USG Privacy Policy.

Further, I certify that, to the best of my knowledge, the information submitted on this application is true and complete.

I will be academically honest in all of my coursework and not tolerate the academic dishonesty of others.

Signature

HIDDEN: Create New Round = Yes

HIDDEN: Round = Application (New)

HIDDEN: Submitted Flag = Yes

HIDDEN: Application Source = Slate

HIDDEN: Student Type = Non-Degree Undergraduate (Z)

HIDDEN: Admit Type = Non-Degree (ND)

HIDDEN: Application Major Code = Tactical Athlete (A)

HIDDEN: Campus Code = Fully Online

HIDDEN: Seek Degree = No